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Individual

DR. ELLEN CROSS WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
5587 GARDEN VILLAGE WAY STE A, GREENSBORO, NC 27410-8590
(336) 540-1065
(336) 760-2149
Mailing address
PO BOX 469, KERNERSVILLE, NC 27285-0469
(336) 540-1065

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
HSP-P # 0873
NC

Other

Enumeration date
11/07/2006
Last updated
06/03/2020
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